Community System Strengthening
and Dual Track Financing
Mauro Guarinieri
Civil Society Officer, Asia Unit
Cancun, 2-December-2009
Overview
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The role of Civil Society
Community System Strengthening
Dual track financing
Key dates for advocacy
The role of Civil Society
 Civil society has played a fundamental role in the design
and development of the Global Fund, as well as a critical
part in advocating the necessity for multi-stakeholder
participation in all areas of the Global Fund architecture.
 Civil Society organizations have been effective voices on
the Global Fund Board, as they hold equal voting rights
alongside donor and recipient governments.
 At the level of CCMs, representing the needs of vulnerable
and marginalized groups infected and affected by the three
diseases as well as in implementation, where civil society
has a proven and effective role in targeting hard-to-reach
communities and in prevention and treatment literacy.
Recognizing Constraints
 Civil society CCM members have been responsible for
notable contributions but, in general, there is limited
influence of civil society in proposal preparation, shaping
program implementation, and program oversight.
 There is a need to improve civil society representation of
constituent priorities as well as communication between
civil society CCM representatives and the broader civil
society sector.
 Civil society CCM representatives need more
opportunities to build their skills and capacities on a
range of issues.
Dual Track Financing
• Dual track Financing is the practice of encouraging
countries to include both government and nongovernment Principal Recipients in proposals to the
Global Fund.
• The routine use of DTF has been recommended to
Round 8 applicants in recognition of the fact that both
civil society and the private sector can and should play a
role in the development of proposals and the
implementation and oversight of grants at the country
level
The Global Fund recognizes a number of
possible benefits of Dual Track Financing
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Increase absorption capacity by relying on implementation ability of
all domestic sectors
Accelerate implementation and performance of grants
Stimulate the involvement of all national sectors and thus strengthen
the weaker ones
Promote service availability by reaching a broader range of people
Scale-up existing service delivery to wider population groups and/or
geographic regions
Move more quickly towards providing access to prevention,
treatment, care and support to all persons in need, including key
affected populations
Contribute to sustainability of programmatic interventions over the
longer term
Community System Strenghtening
Community systems strengthening refers to
initiatives that contribute to the development and/or
strengthening of community-based organizations in
order to improve knowledge of, and access to
improved health service delivery. Specifically in the
context of applications to the Global Fund,
community systems strengthening initiatives are
encouraged to achieve improved outcomes for HIV,
tuberculosis and malaria prevention, treatment, and
care and support programs.
CSS refers to initiatives that contribute to the
development and/or strengthening of communitybased organizations.
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Community Systems Strengthening areas of activity may include a focus on:
Building capacity of the core processes of community-based organizations
to provide an increased range, or quality of services, through, for example:
– Physical infrastructure development, including obtaining and retaining office
space,
– holding bank accounts, and improving communications technology
– Organizational systems development, including improvements in the financial
– management of community-based organizations, and the development of
strategic
– planning, monitoring and evaluation, and information management capacities
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Building partnerships at the local level to improve coordination, enhance
impact, and avoid duplication of service delivery.
Sustainable financing, including a focus on supporting initiatives to plan
for and achieve predictability of resources over a longer period of time with
which to work for improved impact and outcomes for the disease(s).
Examples of CSS Activities
Capacity building of the core processes of CBOs or local
health service providers through:
– Physical infrastructure development (e.g. obtaining office
space)
– Organizational systems such as development of
management and financial systems and monitoring and
evaluation capacities
– Technical support to improve programmatic quality, size
and scale of programs (e.g. training of local authorities to
support scale up)
– Human resources e.g. trained community health services
providers or task shifting to community base organizations
Strengthening Community Systems
Organizational needs
Actions
I. STRATEGIC PLANNING
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Systematic review of community service needs
· Funding assigned to strategic priorities and
development
II. MANAGEMENT CAPACITY DEVELOPMENT
Building Capacity
· Organizational systems development: finance,
M&E, management
· Mentoring support to younger community
organizations
III. STAFF RETENTION
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Salary harmonization
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Invest in staff development
IV. LEVERAGE COMMUNITY NETWORKS
Mobilizing Community
networks
· Support community leaders to catalyse aids
activities
· Finance networks of carers and people with
HIV to mobilize community support
· Involve community networks to stimulate
demand and ensure accountability
V. MEDIUM TERM FINANCIAL PLANNING AND
RESOURCE MOBILISATION
Sustainable Financing
· Funding of core organizational components as
well as activities over multi-year cycles
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Partner to reduce financing barriers
Source: Research by CADRE,
for the Global Fund, 2008
Why are these mechanism important?
• Civil Society are integral to all Global Fund processes
• Civil Society are the Global Fund most effective
implementers
• Civil Society work with the most vulnerable and
marginalised communities
• But to be equal and effective partners Civil Society
needs to strengthen and build its capacity
• If this happens Civil Society can bring all its skills,
knowledge and expertise to support Government
programmes and ensure a comprehensive response to
HIV and TB
Advocacy calendar
• Strategic retreat January / February 2010
• Launch of Round 10 (May 2010)
– Some donors may just want progress on the architecture
changes that have been already agreed upon (single
stream of funding per disease per PR).
– Others may ask for strategic architecture changes which
might mean a broader mandate for the Fund, restricting
access to countries that already have some money, putting
caps on rounds and grants, flat lining treatment
investments, etc.
Global Fund replenishment 2010
Sept 09 – March 2010
Advocacy
Identification &
invitation of
participants
Preparation of
documentation
April – September 2010
March 2010
Prepatory
Advocacy
Production of
additional
information and
data
Meeting
Logistic
preparations
Liaison with
stakeholders
October 2010
Pledging
Conference
Additional
preparatory
meeting if
required
Logistic
preparations
Vice-Chair
Richard Manning
UK, former OECD/DAC
Chair
Ban Ki-moon
UN Secretary-General
Key messages for the Replenishment
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Resources made available through the Global Fund
have achieved impressive results and dramatic
improvements in global health;
The Global Fund as innovation for a new century. Its
efficiency, transparency, participatory decision making
processes and performance-based funding can be
regarded as a model for global governance and the
provision of financial resources to global public goods;
In a world with growing inequalities, the Global Fund
represents a bridge between the rich and the poor,
contributing to building a more just, stable and secure
world;